Jacey Lopez

NPI #1093230872 in New Iberia, Louisiana

Provider Information

NPI Number: 1093230872
Entity Type: Individual
Name: Jacey Lopez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Aug 14, 2017
Last Updated: Aug 24, 2017

Practice Location

Address: 1614 E MAIN ST STE C
City: New Iberia
State: Louisiana
ZIP Code: 70560-4056
Phone: (337) 369-6600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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